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In recent times, surgical approaches have seen the rise of two groundbreaking techniques that have revolutionised the way surgeries are performed – Laparoscopic Surgery and Robotic Surgery. Each brings its own set of advantages and caters to diverse medical needs. Are these approaches the same or different? While the approach is similar, there are notable differences between laparoscopic and robotic surgery. Let us understand these cutting-edge approaches slightly better.
Laparoscopic surgery, often referred to as minimally invasive surgery, involves making small incisions through which a laparoscope (a thin, flexible tube with a light and camera). The surgeon navigates and performs the procedure while watching a video monitor, using specialised instruments.
Example: Laparoscopic cholecystectomy, a minimally invasive approach to gallbladder removal.
Robotic surgery can just be termed as an advanced approach to laparoscopy. It takes a step further by employing a surgical robot which is controlled by a surgeon. The robotic system provides enhanced visualisation and precision, thereby amplifying the surgeon’s capabilities through advanced technology.
Example: Robotic-assisted prostatectomy, a minimally invasive option for prostate removal.
Some basic similarities between the two are small incisions, an inside view of the surgical location, shorter hospital stay, better control of the process and improved clinical outcomes. However, when you go deeper you notice there are subtle but clinically impactful differences that differentiate the two. Now, let us explore some of the differences of each approach:
| Laparoscopic Surgery | Robotic Surgery |
| Tiny incisions that allow for camera and small instruments | Tiny incisions that allow for a camera, small instruments & endo wrist instruments |
| The surgeon stands over the patient | The surgeon sits at the surgeon’s console |
| The surgeon operates with instruments that have been inserted into the incision | The surgeon operates on the console, while the technology helps mimic his actions in the patient body in real time |
| Lowered range of motion when compared to robotic surgery | Robotic instruments and arms have a full 360-degree motion range. This makes robotic arms more dexterous than even the human hand enhancing the surgeon’s capability |
| Better control and access to tricky places than open surgery | Uncomparable control and access to difficult-to-reach and delicate regions is easier. |
| Recovery time is shorter than open surgery | Shortest recovery time and enhanced clinical outcomes. |
| Reduced risk of blood loss and infections | The minimised risk of blood loss and infections due to the cauterisation process helps carry out organ removal or reconstruction surgeries with the least patient discomfort. |
In conclusion, both laparoscopic and robotic surgeries represent remarkable advancements in the field of minimally invasive procedures. While laparoscopy has been a transformative approach, robotic surgery elevates precision and dexterity to unprecedented levels. The choice between the two depends on the specific procedure, surgeon’s expertise, and patient factors.
At the CK Birla Hospital, we pride ourselves on offering cutting-edge surgical solutions, ensuring that our patients receive the most advanced and personalised care. Our team of skilled surgeons, equipped with state-of-the-art technology, is committed to providing you with the best possible outcomes.
Choose excellence. Choose innovation. Choose CK Birla Hospital for your surgical needs.
As we approach International Women’s Day, it’s time to shine a light on the phrases and stereotypes that women are tired of hearing about their health. Women face a barrage of comments and expectations that can impact their physical and mental well-being. Let’s delve into these phrases and learn to address the real concerns which are getting overlooked in women’s health.
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The pressure to look like a perfect 10 at all times has led to an epidemic of self-doubt and insecurity. According to a survey carried out by the National Eating Disorders Association, approximately 91% of women surveyed admitted to dieting to control their weight, with body dissatisfaction being prevalent across different age groups. And alarmingly high among teens and young adults.
Source: https://eatingdisorderfoundation.org/learn-more/about-eating-disorders/facts/
Bloating is another common concern among women, often linked to hormonal fluctuations, digestive issues, or dietary choices. Hormonal imbalance, whether due to conditions like polycystic ovary syndrome (PCOS) or menopause, can also contribute to weight gain and bloating.
Following fad diets at any age can be detrimental to your body’s fitness, depriving women of the essential proteins and nutrients of a balanced diet. Instead, address the real concerns behind the weight problems and get a customised diet plan from a nutritionist who will address the real health issues with science and compassion, rather than judgement.
Weight gain is not a measure of worth, so instead of focusing on numbers on a scale, let’s talk about feeling strong, confident, and healthy from the inside out.
Yes, women experience hormonal fluctuations, but that doesn’t make their feelings any less valid. Period problems are more than just a monthly inconvenience. Premenstrual syndrome (PMS) is actually not one but a group of symptoms. Over 90% of women experience some form of premenstrual symptoms, ranging from mood swings to physical discomfort, including bloating, constipation, headaches, lethargy, etc.
Source: https://www.medicalnewstoday.com/articles/mood-swings-in-women#causes-in-females
Regular exercise and stress management techniques like yoga or meditation can help alleviate PMS symptoms. From cramps to cravings, women navigate through it all like warriors. And let’s not forget about stress and work-life balance, because balancing it all deserves a round of applause, not an eye roll.
Delicate? Please. Women are out here crushing high-energy jobs, raising families, and conquering the world one day at a time. Many women juggle high-energy and stress-filled jobs while simultaneously navigating the demands of motherhood. Joining work while breastfeeding is a testament to women’s resilience and determination, challenging the notion that they are fragile or weak.
Dealing with hair loss, weaker bones, and knees? Women handle it with grace and a radiant smile. Regular exercise, including strength training, and a balanced diet rich in calcium and vitamin D, can help maintain bone health and prevent osteoporosis.
Fitness is another area where women often face stereotypes and expectations. According to the Centers for Disease Control and Prevention (CDC), only 20.4% of women meet the recommended guidelines for aerobic and muscle-strengthening activities. Encouraging women to prioritise their fitness goals and find activities they enjoy can promote long-term health and well-being.
Source: https://www.cdc.gov/nchs/data/databriefs/db443.pdf
Cancer screening and regular check-ups are essential for women of all ages, yet many may hesitate due to fear or misconceptions. According to experts, early detection through regular screenings can significantly improve outcomes for breast, cervical, and colorectal cancers. Empowering women with accurate information about screening guidelines and the importance of preventive care is crucial for early detection and treatment.
The infamous ticking clock of societal expectations. But a woman’s worth is not determined by her relationship status or reproductive choices. According to a survey by the researchers of the International Institute for Population Studies for NFHS, it has been observed that the median age of a mother has declined by five years from 33 to 28 years in India.
The primary reason that drives this phrase is rooted in the real problems of infertility that women above 35 years tend to experience. However, fertility issues can affect women at any age, with factors like age, genetics, and lifestyle playing significant roles.
Egg preservation, also known as oocyte cryopreservation, offers women the option to preserve their fertility for the future. While it’s essential to raise awareness about reproductive health options, it’s equally important to respect each woman’s individual choices and timelines.
Having said that, natural transitions like perimenopause and menopause are often stigmatised or dismissed in similar parlance. Symptoms like hot flashes, mood swings, and vaginal dryness can impact a woman’s quality of life, but they are manageable with the right support and resources.
Whether single, married, or somewhere in between, women today are living life on their own terms. From exploring fertility options to getting regular health check-ups a wise woman is always at the top of her game.
These vices are not gender-specific. Health warnings apply to everyone. But yes, let’s talk about the impact of smoking and drinking on fertility and overall health. Spoiler alert: it’s not pretty.
While the health risks of smoking and excessive drinking are well-documented, these warnings should apply to everyone, regardless of gender. According to the World Health Organization (WHO), tobacco use is a leading cause of preventable death globally, with smoking-related diseases claiming over 8 million lives annually.
Scars are often left behind due to some trauma or hurt. Then there are skin conditions or injuries that often leave behind imperfections. Some women are subjected to unwanted prejudice due to slight imperfections. These can also be something as natural as wrinkles and age lines.
Dermatological issues like premature ageing or scars can be treated with cosmetic surgeries. Scars can be removed and trauma imperfections can also be permanently repaired with the help of plastic surgery. Always ensure you seek an experienced plastic surgeon for these treatments.
Women deserve to prioritise their health and well-being without fear of judgement or criticism. By taking control of their health journey and advocating for their needs, women can break free from the limitations imposed by others and embrace a life of vitality and empowerment.
Let’s celebrate womanhood by championing women’s health and amplifying their voices in the quest for equality and wellness. Take the first step to good health by scheduling a full body check-up here.
In the realm of managing piles, diet plays a crucial role in alleviating symptoms and promoting healing. Knowing which foods to embrace and which to steer clear of can make a significant difference in your comfort and recovery.
In this comprehensive guide, we’ll delve into the best dietary choices to soothe and support your digestive health while navigating the discomfort of piles.
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Diet can play a significant role in influencing piles, also known as haemorrhoids. Haemorrhoids are swollen veins in the rectum or anus that can cause discomfort, bleeding, and itching.
Overall, adopting a balanced diet rich in fibre, staying hydrated, and avoiding irritating foods can help prevent and alleviate symptoms of piles. It’s essential to consult with a healthcare professional for personalised dietary recommendations and treatment options if you are experiencing persistent or severe piles symptoms.
When experiencing piles, some days may be more painful than others. Your dietary habits play a crucial role in either improving or exacerbating your bowel movements and the resultant discomfort. Foods to stay away from include:
Frozen meals, fast food, and deep-fried items are cumbersome for digestion, containing fewer nutrients alongside high levels of salt and unhealthy fats. These factors collectively contribute to digestive issues and constipation.
While indulging in spicy dishes may be enjoyable, individuals with piles should exercise caution. Spicy foods can exacerbate discomfort during painful bowel movements or bleeding episodes associated with piles.
Reducing alcohol intake is advisable as it disrupts digestive equilibrium by depleting essential nutrients and dehydrating the gut.
Consumption of dairy products can lead to gas, stomach cramps, and constipation, particularly during flare-ups of haemorrhoids. Monitoring dairy intake is essential for managing symptoms.
While fruits are beneficial for alleviating piles symptoms, consuming ripe fruits is crucial. Unripe fruits such as bananas may contain compounds that exacerbate discomfort. Opt for ripe fruits as part of your dietary routine.
Opt for whole grains over refined varieties like white rice or bread, as refined grains lack fibre and essential nutrients.
Foods high in salt, such as tortilla chips, salted peanuts, and canned goods, can contribute to water retention and negatively impact blood vessels, worsening hemorrhoidal symptoms.
Iron supplements and some medications, such as those for colds or coughs, can cause constipation. It’s important to consult a healthcare professional before adjusting medication regimens.
While fibre is beneficial for gut health, excessive intake can exacerbate hemorrhoidal symptoms. Gradually increasing fibre intake is recommended rather than sudden changes, as it can have a bulking effect on stools rather than aiding in relief.
It’s advisable to limit the intake of processed meats during hemorrhoidal episodes due to their low fibre content and high sodium levels.
Of all meat varieties, this particular type is notably challenging to digest and may impede bowel movements, making it unfavourable for individuals experiencing symptoms or predisposed to piles.
Consuming sweets can exacerbate piles due to their potential to cause constipation, worsen inflammation, and contribute to weight gain, all of which can worsen haemorrhoid symptoms.
Numerous food options can aid in mitigating the likelihood of developing piles, which include constipation, bloating, and various digestive problems. These foods include:
Ensuring an adequate daily intake of dietary fibre can help minimise the occurrence of flare-ups associated with piles. There are two main types of fibre found in food: soluble and insoluble.
Soluble fibre forms a gel in the digestive tract and can be broken down by beneficial bacteria, while insoluble fibre adds bulk to stool.
Legumes such as beans, lentils, peas, soybeans, peanuts, and chickpeas are abundant sources of both types of fibre, with a particularly high concentration of soluble fibre.
Incorporating lentils and other legumes into your diet can increase stool bulk, reducing the likelihood of straining during bowel movements.
Cruciferous vegetables such as cauliflower, broccoli, cabbage and radishes are renowned for their high insoluble fibre content. These vegetables contain a natural compound called glucosinolate, which can be efficiently digested by gut bacteria.
This digestion process aids in smooth bowel movements and can alleviate symptoms associated with a fresh bout of haemorrhoids.
Root vegetables such as turnips, beetroot, carrots, sweet potatoes, and potatoes offer substantial satiety and exceptional nutrition. Additionally, they boast a rich content of gut-friendly fibre.
Take cooked and cooled white potatoes, for instance; they harbour resistant starch, a type of carbohydrate that traverses the digestive system without digestion. Like soluble fibre, they support gut bacteria and promote smooth bowel movements.
Rich in essential vitamins such as vitamin C and minerals, bell peppers serve as an excellent choice for boosting fibre intake in your diet. Just a cup of mild bell peppers provides approximately 2 grams of fibre.
Moreover, boasting a water content of around 93%, bell peppers aid in hydration and promote smooth passage of stool.
Similar to legumes, whole grains are a nutritional powerhouse as they preserve their germ, bran, and endosperm, all of which are rich in fibre content. Whole grains are notably abundant in insoluble fibre.
The advantage of insoluble fibre lies in its inability to be digested, thus adding bulk to stool and facilitating easier excretion, reducing the discomfort associated with piles.
Brown rice, oats and corn are among the beneficial whole grains.
For instance, incorporating oatmeal into your diet can alleviate symptoms of piles. Oatmeal contains a special soluble fibre known as beta-glucan, which supports the gut microbiome by acting as a prebiotic. This, in turn, nourishes healthy gut bacteria and aids in smoother excretion.
Incorporating them into your diet can effectively alleviate symptoms of piles. With their rich content of pectin and resistant starch, a single banana typically supplies an average of 3 grams of fibre.
This combination aids in promoting smooth bowel movements, facilitating easier stool passage.
Tomatoes are rich in dietary fibre and have a high water content, which helps alleviate symptoms of constipation by reducing the need to strain during bowel movements.
Additionally, tomatoes contain a natural antioxidant called naringenin, which some scientists suggest may have a laxative effect on constipation.
Fruits such as oranges, lemons, and grapes boast high levels of vitamin C. Beneath their outer layer, the inner skin of these fruits is abundant in fibre.
Citrus fruits are also rich in water content, which aids in softening stools. Similar to tomatoes, they also contain naringenin, a natural compound known for its laxative effect.
You Can Also Read: Piles and Fissures – Know the Difference
Managing piles through diet requires a balance of fibre-rich foods, hydration, and avoidance of trigger foods like processed snacks. Prioritise healthful choices to alleviate symptoms and promote overall well-being.
At the CK Birla Hospital, we ensure patients get holistic medical support which includes treatment in a compassionate environment. This patient-centric approach not only helps patients heal better but also ensures they are aware of the preventive measures as well. In case you need to consult a dietitian, reach out to us, or book a direct appointment at the CK Birla Hospital.
A high-fibre diet can help alleviate symptoms of piles by promoting smoother bowel movements and reducing strain during defecation.
Gentle spices like turmeric, ginger, and cumin can aid digestion and may alleviate discomfort associated with piles when consumed moderately.
Improvements in diet, particularly increased fibre intake, can alleviate piles symptoms within days to weeks depending on individual responses.
Yes, a vegetarian diet rich in fibre from fruits, vegetables, and whole grains can help alleviate piles symptoms and promote digestive health.
Opt for low-sugar, high-fibre snacks like fruit, nuts, or dark chocolate to minimise aggravation of piles while still enjoying treats.
The infectious disease known as tuberculosis, or TB for short, is brought on by the Mycobacterium tuberculosis bacteria. Although it can also affect other sections of the body, its primary effect is on the lungs. Despite being preventable and curable, TB remains a significant global health concern, particularly in low- and middle-income countries.
Understanding its causes, symptoms, prevention, and treatment is crucial in combating this ancient disease.
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Tuberculosis, or TB, is an infectious disease (infectious disease doctors) primarily affecting the lungs, though it can harm other organs like the brain or kidneys. It originates from the Latin word for “nodule.”
TB may remain latent without symptoms or progress to active disease, characterised by contagion and symptoms. Its stages include primary infection, latent TB infection, and active TB disease. Treatment is essential for sickness.
Latent TB, caused by Mycobacterium tuberculosis, may be asymptomatic for years before progressing to active TB disease. Active TB manifests various symptoms, primarily respiratory, but can affect other body parts.
TB spreading to other organs presents additional symptoms such as:
You Can Also Read: How to Avoid Influenza?
The germ that causes tuberculosis, or TB, is called Mycobacterium tuberculosis. Various strains of TB exist, some of which have developed resistance to medication.
TB bacteria are spread through infected droplets in the air, which can be inhaled by anyone nearby. Transmission can occur through actions such as sneezing, coughing, speaking, or singing.
Individuals with a strong immune system may not exhibit TB symptoms despite being infected, a condition referred to as latent or inactive TB infection. It is estimated that around a quarter of the global population carries latent TB.
Latent TB is not contagious, but it can progress to active disease over time. Active TB disease can cause illness and is also transmissible to others.
Over 95% of TB deaths occur in developing nations, particularly in Sub-Saharan Africa, India and parts of Asia.
TB is a top cause of death for HIV-positive people. Testing, HIV treatment adherence, avoiding TB exposure, quitting smoking, a balanced diet, and exercise prevent TB progression.
Healthcare professionals use a range of tests to diagnose TB, each with distinct considerations. These include:
Treatment for tuberculosis (TB) involves a combination of antibiotics taken over several months. This combination, known as “first-line” treatment, lasts at least six months. Patients must adhere strictly to their prescribed medication regimen and complete the entire course, even if symptoms improve. This prevents drug-resistant strains from emerging.
Monitoring by healthcare providers is crucial to assess treatment response and identify any side effects or complications. In cases of drug-resistant TB, treatment is more complex and may require different antibiotic combinations.
You Can Also Read: How to keep lungs healthy?
In low-risk areas, understanding TB prevention is crucial. Precautions remain essential, particularly in high-risk settings.
Tuberculosis remains a pressing global health concern, necessitating continued efforts in prevention, diagnosis, and treatment. With collaborative action, we can strive towards a world free from the burden of TB. It is always advisable to seek medical help from an experienced pulmonologist. Timely care and help can ensure an appropriate diagnosis and treatment of your condition.
At the CK Birla Hospital, we ensure patients get holistic medical support which includes treatment in a compassionate environment. This patient-centric approach not only helps patients heal better but also ensures they are aware of the preventive measures as well. In case you need to consult a pulmonologist, reach out to us, or book a direct appointment at the CK Birla Hospital.
Yes, tuberculosis (TB) can be completely cured with appropriate antibiotic treatment, usually a combination of drugs taken for several months, ensuring eradication of the bacteria from the body.
When an infected individual coughs or sneezes, the disease spreads via the air. Prevention involves vaccination, early detection, treatment of infected individuals, and practising good respiratory hygiene to reduce transmission.
Yes, untreated TB can lead to serious complications such as lung damage, respiratory problems, and even death. Timely treatment can prevent long-term effects and promote recovery.
Close contacts and family members of TB patients should undergo screening for infection, receive preventive therapy if indicated, adhere to infection control measures, and follow up with healthcare providers for monitoring.
Signs of TB treatment failure or relapse include persistent symptoms, worsening of symptoms after initial improvement, positive sputum tests, and radiographic evidence of disease progression despite treatment. Prompt medical evaluation is essential.
सूखी खांसी एक श्वसन स्थिति (respiratory condition) है जिसमें बलगम या कफ का उत्पादन नहीं होता है। आमतौर पर यह गले और वायुमार्ग में जलन या सूजन के कारण होता है। हालाँकि, इसके मुख्य कारणों में सामान्य सर्दी या फ्लू जैसे वायरल संक्रमण, एलर्जी, जलन पैदा करने वाले कारक या पर्यावरणीय कारक शामिल हैं।
खांसी कठोर और कर्कश लगती है, जिससे कफ के माध्यम से राहत नहीं मिलती है और मरीज को परेशानी होती है। कुछ मामलों में सूखी खांसी विभिन्न अंतर्निहित स्थितियों का लक्षण भी हो सकती है। इसके मूल कारण को समझना, सटीक उपचार में मदद करता है। इस ब्लॉग में हम सूखी खांसी के कारण, लक्षण, घरेलू उपचार आदि के बारे में जानने की कोशिश करेंगे।
और अधिक पढ़ें : इओसिनोफिलिया क्या है – कारण, लक्षण और घरेलू उपचार (Eosinophils in Hindi)
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सूखी खांसी विभिन्न अंतर्निहित कारणों से हो सकती है, जो अक्सर श्वसन प्रणाली में जलन या सूजन का संकेत देती है। सामान्य सर्दी या इन्फ्लूएंजा जैसे वायरल संक्रमण अक्सर सूखी खांसी का कारण बनते हैं। पराग, धूल, या पालतू जानवरों के रूसी जैसे वायुजनित कणों से एलर्जी के कारण भी बलगम उत्पन्न हुए बिना लगातार खांसी हो सकती है। धुआँ, प्रदूषण, या तेज़ गंध जैसे पर्यावरणीय परेशानियाँ भी सूखी खाँसी को प्रेरित कर सकती हैं।
गैस्ट्रोएसोफेगल रिफ्लक्स रोग (जीईआरडी) पेट के एसिड को एसोफेगस में वापस प्रवाहित करके खांसी में योगदान कर सकता है। कुछ दवाएं, विशेष रूप से उच्च रक्तचाप के लिए जिन्हें एसीई अवरोधक के रूप में जाना जाता है, लगातार खांसी के दुष्प्रभाव से जुड़ी हैं। इसके अलावा, अस्थमा या क्रॉनिक ऑब्सट्रक्टिव पल्मोनरी डिजीज (सीओपीडी) जैसी श्वसन संबंधी स्थितियां सूखी खांसी के साथ प्रकट हो सकती हैं।
और अधिक पढ़ें : सांस लेने में दिक्कत हो तो क्या करें?
सूखी खांसी के लक्षणीं में गले में खिचखिच होना, आवाज़ कर्कश होना, गले में खरोच जैसा अनुभव होना और तेज़ आवाज़ के साथ खांसी होना आदि शामिल हैं। सूखी खांसी वाले लोगों को असुविधा या गले में बेचैनी महसूस हो सकती है, जो अक्सर खांसने से बढ़ जाती है। खांसी अनुत्पादक होती है, अर्थात इसमें बलगम नहीं आता है।
हालांकि, यह एक स्टैंडअलोन लक्षण हो सकता है, लेकिन वायरल संक्रमण, एलर्जी या श्वसन स्थितियों जैसे अंतर्निहित कारणों के साथ थकान, सांस की तकलीफ या सीने में परेशानी जैसे अतिरिक्त लक्षण भी अनुभव हो सकते हैं, जिसके लिए उचित निदान और उपचार की आवश्यकता होती है।
और अधिक पढ़ें : खांसी का कारण और इलाज | Cough in Hindi
घर पर सूखी खांसी का प्रबंधन करने में सुखदायक उपचार और जीवनशैली में बदलाव शामिल है। हालांकि, ये उपाय राहत प्रदान कर सकते हैं, लेकिन अगर खांसी बनी रहती है या बिगड़ जाती है तो विशेषज्ञ से परामर्श करना महत्वपूर्ण है। घर पर सूखी खांसी का उपचार करने के लिए डॉक्टर से परामर्श के बाद निम्न घरेलू नुस्खों का इस्तेमाल किया जा सकता है:
अपने गले को नम रखने और जलन को कम करने के लिए पूरे दिन खूब पानी पियें। गर्म तरल पदार्थ, जैसे हर्बल चाय, साफ़ शोरबा, या शहद और नींबू के साथ गर्म पानी, विशेष रूप से फायदेमंद हो सकते हैं।
शहद में प्राकृतिक जीवाणुरोधी और सुखदायक गुण होते हैं। गर्म पानी या हर्बल चाय में एक चम्मच शहद मिलाएं और उसका सेवन करें। सोने से पहले कच्चे शहद का सेवन खांसी को कम करने और बेहतर नींद को बढ़ावा देने में मदद कर सकता है।
नमक के पानी से गरारे करने से गले की जलन कम हो सकती है। गर्म पानी में एक चम्मच नमक मिलाकर दिन में कई बार गरारे करें।
हवा में नमी लाने के लिए अपने कमरे में ह्यूमिडिफायर का उपयोग करें। नम हवा गले में सूखापन दूर करने और खांसी को कम करने में मदद कर सकती है।
भाप लेने से श्वसन मार्ग को नमी मिलने पर तुरंत फायदा होता है। गर्म पानी में नीलगिरी के तेल की कुछ बूंदें मिलाएं और भाप लें।
अदरक में सूजन-रोधी गुण होते हैं जो सूखी खांसी को ठीक करने में मदद कर सकते हैं। ताजे अदरक के टुकड़ों को पानी में उबालकर अदरक की चाय तैयार करें। मिठास के लिए शहद मिलाएं और उसका सेवन करें।
हल्दी में एंटी-इंफ्लेमेटरी और एंटीबैक्टीरियल गुण होते हैं। गर्म दूध में एक चम्मच हल्दी मिलाएं और सोने से पहले पिएं।
सुनिश्चित करें कि आपको पर्याप्त आराम मिले ताकि आपका शरीर ठीक हो सके। पर्याप्त नींद प्रतिरक्षा प्रणाली का समर्थन करती है और समग्र स्वास्थ्य को बढ़ावा देती है।
सोते समय अतिरिक्त तकिये का उपयोग करके अपना सिर ऊंचा रखें। यह रात के समय होने वाली खांसी को कम करने में मदद कर सकता है।
धुएं, तेज़ गंध और अन्य पर्यावरणीय परेशानियों से दूर रहें जो सूखी खांसी को बदतर बना सकते हैं। घर से बाहर निकलने पर मास्क का इस्तेमाल करें।
गले पर गर्म सेक लगाने से मांसपेशियों को आराम मिल सकता है और असुविधा कम हो सकती है। गर्म नमक के पानी में एक कपड़ा डुबोएं, उसे निचोड़ें और कुछ मिनटों के लिए अपने गले पर रखें।
दही या सप्लीमेंट्स में पाए जाने वाले प्रोबायोटिक्स, प्रतिरक्षा प्रणाली को बढ़ावा देने और श्वसन स्वास्थ्य को बढ़ावा देने में मदद कर सकते हैं।
और अधिक पढ़ें : क्या सामान्य ज़ुकाम, खांसी या ठंड निमोनिया में बदल सकती है
ऊपर दिए गए घरेलू नुस्खे सूखी खांसी के अलक्षणों को कम करने में मदद कर सकते हैं, लेकिन यह विशेषज्ञ के साथ परामर्श और उपचार की जगह नहीं ले सकता है। अगर आपकी सूखी खांसी बनी रहती है, गंभीर है, या अन्य संबंधित लक्षणों के साथ है, तो उचित निदान और उपचार के लिए विशेषज्ञ से परामर्श करें। साथ ही, पहले से मौजूद स्वास्थ्य समस्याओं वाले या पहले से दवाएँ लेने वालों को नए उपचार आज़माने से पहले एक विशेषज्ञ से अवश्य मार्गदर्शन लेना चाहिए।
लगातार सूखी खांसी विभिन्न कारणों से हो सकती है, जिनमें वायरल संक्रमण (सामान्य सर्दी, फ्लू), एलर्जी, पर्यावरण संबंधी परेशानियां (धुआं, प्रदूषण), गैस्ट्रोएसोफेगल रिफ्लक्स रोग (जीईआरडी), दवाएं (जैसे एसीई अवरोधक), और अंतर्निहित शामिल हैं। अस्थमा या क्रॉनिक ऑब्सट्रक्टिव पल्मोनरी डिजीज (सीओपीडी) जैसी श्वसन संबंधी स्थितियां आदि।
ओवर-द-काउंटर खांसी की दवाएं अस्थायी राहत प्रदान कर सकती हैं लेकिन आमतौर पर गीली या उत्पादक खांसी के लिए अधिक प्रभावी होती हैं। सूखी खांसी के लिए अक्सर शहद, गले की दवा या ह्यूमिडिफायर जैसे उपचारों की सिफारिश की जाती है। किसी भी दवा का उपयोग करने से पहले एक विशेषज्ञ डॉक्टर से परामर्श करें, खासकर अगर आपको पहले से कोई स्वास्थ्य समस्या है या आप अन्य दवाएं ले रहे हैं।
अगर सूखी खांसी तीन सप्ताह से अधिक समय तक बनी रहती है, साथ में सांस लेने में तकलीफ, सीने में दर्द, या लगातार थकान जैसे गंभीर लक्षण होते हैं, या खांसी में खून आता है, तो तुरंत चिकित्सा सहायता लेने की सलाह दी जाती है। ये एक अंतर्निहित स्थिति के संकेत हो सकते हैं जिसके लिए मेडिकल सहायता की आवश्यकता होती है।
मसालेदार, अम्लीय, या जलन पैदा करने वाले खाद्य पदार्थ और पेय पदार्थ गले में जलन बढ़ा सकते हैं और सूखी खांसी बढ़ा सकते हैं। कैफीन, शराब और तंबाकू से बचने की सलाह दी जाती है, जो निर्जलीकरण और गले के सूखने में योगदान कर सकते हैं। असुविधा को कम करने के लिए गर्म सूप, हर्बल चाय और गैर-अम्लीय फलों जैसे सुखदायक खाद्य पदार्थों का विकल्प चुनें।
हां, पराग, धूल, या पालतू जानवरों की रूसी जैसे वायुजनित कणों से एलर्जी के कारण गले में पुरानी जलन और लगातार सूखी खांसी हो सकती है। एंटीहिस्टामाइन के माध्यम से एलर्जी का प्रबंधन करना, ट्रिगर से बचना और एलर्जेन-प्रूफ बिस्तर का उपयोग करना एलर्जी प्रतिक्रियाओं से जुड़ी खांसी को कम करने में मदद कर सकता है।
हां, सूखी खांसी के लिए ह्यूमिडिफायर का उपयोग फायदेमंद हो सकता है। यह हवा में नमी लाता है, गले को सूखने से बचाता है और जलन को कम करता है। हालाँकि, फफूंद या बैक्टीरिया के विकास को रोकने के लिए ह्यूमिडिफायर को नियमित रूप से साफ करना आवश्यक है, जो श्वसन संबंधी लक्षणों को खराब कर सकता है।
Flax seeds, often touted as a nutritional powerhouse, have been gaining widespread recognition in the world of health and wellness. Packed with essential nutrients, fibre, and beneficial fatty acids, these tiny seeds offer a plethora of health benefits.
In this blog, we’ll dive deep into the wonders of flax seeds, exploring their nutritional value, versatile uses, and how they can become a valuable addition to your daily diet.
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Flaxseed, also recognized as flax or linseed, constitutes the seeds of the flax plant. Available in hues spanning reddish brown to light yellow (often called golden flaxseed), it can be ingested as whole seeds, ground powder, or flaxseed oil.
Flaxseeds contain 534 calories in every 3.5 ounces (100 grams), equivalent to 55 calories per tablespoon (10 grams) of whole seeds.
Their composition comprises 42% fat, 29% carbohydrates, and 18% protein.
A single tablespoon (10 grams) of whole flax seeds provides the following nutritional values:
Flax seeds are incredibly rich in fibre, with 95% of their 29% carb content being fibre.
Two tablespoons of flax seeds (20 grams) offer 6 grams of fibre, meeting 15–25% of the daily fibre intake for men and women.
This fibre is a blend of soluble fibre (20–40%) for blood sugar and cholesterol control, and insoluble fibre (60–80%) aiding in digestion.
Flax seeds, when mixed with water, form a thick mucilage, acting as a natural laxative, promoting regularity, preventing constipation, and lowering the risk of diabetes.
Flax seeds, with 18% protein, have a soybean-like amino acid profile but lack lysine, making them incomplete protein. Rich in heart and immune-boosting arginine and glutamine.
Flax seeds are rich in fat, with 1 tablespoon containing 4.3 grams, consisting of 73% polyunsaturated fatty acids, including omega-6 and ALA (alpha-linolenic acid) omega-3. ALA is essential and must be obtained from food as the body can’t produce it.
Flaxseed oil has the highest ALA content, followed by milled seeds, while whole seeds have the least. Flax seeds have a favourable omega-6 to omega-3 ratio, linked to lower chronic disease risk, but they contain less omega-3 than fish oils. Converting ALA to EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid) is often inefficient.
Solin, a yellow variety of flax seeds, is less nutritious with a different oil profile and low omega-3 content.
You Can Also Read: Health Benefits of Chia Seeds
Flax seeds serve as a valuable nutritional resource as they provide numerous vitamins and minerals, such as:
Flax seeds are also rich in numerous beneficial plant components, like:
The multiple health benefits of lignans are:
Flax seeds offer versatility in cooking and baking, providing both flavour and nutrition. Here’s how they can be used:
Store flax seeds properly to maintain freshness and nutritional benefits. Grinding them just before use is recommended. Incorporating flax seeds into your meals enhances fibre and omega-3 intake.
Flax seeds offer various health benefits across heart health, digestion, and cholesterol levels:
Ground flax seeds aid digestion. Consult a healthcare professional if you have health conditions or take medications. Include them in a balanced diet for health benefits.
Flax seeds, rich in soluble fibre, aid weight loss by reducing hunger and cravings.
Controlled studies found that incorporating flax seeds into diets helped overweight individuals shed an average of 2.2 pounds (1 kg).
Longer studies and daily consumption of over 30 grams showed even more significant weight loss effects.
You Can Also Read: Top High Protein Foods
Consuming flax seeds safely involves several key considerations for their high fibre and omega-3 fatty acid content:
Always consult with a healthcare professional if you have specific dietary concerns or medical conditions before adding flax seeds to your diet.
Flax seeds are a nutritional powerhouse with numerous health benefits. Incorporating them into your diet can enhance your overall well-being and contribute to a healthier lifestyle.
At the CK Birla Hospital, we ensure patients get holistic medical support which includes treatment in a compassionate environment. This patient-centric approach not only helps patients heal better but also ensures they are aware of the preventive measures as well. In case you need to Consult a Dietitian, reach out to us, or book a direct appointment at the CK Birla Hospital.
Flax seeds are rich in omega-3 fatty acids, fibre, and antioxidants, supporting heart health, digestion, and skin.
Ground flax seeds are more digestible; sprinkle on yoghurt, in smoothies, or use as an egg substitute in baking.
Consult a doctor if you have allergies, are pregnant, or taking certain medications to ensure safety.
Yes, the fibre content can promote feelings of fullness, aiding weight management when part of a balanced diet.
Store flax seeds in an airtight container in the refrigerator to prevent rancidity due to their high oil content.
Dealing with a urinary tract infection (UTI) can be frustrating, with symptoms like burning, frequent urges, and discomfort affecting your day.
While a doctor’s advice is always important for proper treatment, there are also simple, natural ways you can support your recovery and feel better.
In this blog, we will walk you through easy home remedies and everyday habits that may help ease the discomfort and keep your urinary tract healthy.
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A urinary tract infection (UTI) is a bacterial infection in the urinary system, which includes the urethra (urethritis), kidneys (pyelonephritis), and bladder (cystitis).
Normally, urine produced by the kidneys is free of bacteria. A UTI occurs when harmful bacteria enter the urinary tract and multiply, leading to infection.
UTI symptoms vary depending on the affected urinary tract.
If a UTI spreads to the kidneys (an upper tract infection), it can occasionally lead to a serious bloodstream infection called urosepsis. Symptoms may include fever, low blood pressure, confusion, or feeling very unwell. Early diagnosis and treatment are crucial to prevent these complications.
You Can Also Read: Home Remedies for Urinary Tract Infections (UTIs)
UTIs usually occur when bacteria enter the urinary tract through the urethra. The most common culprit is E. coli, a type of bacteria normally found in the intestines. Other bacteria, fungi, or rarely viruses can also cause UTIs. Factors that make it easier for bacteria to cause infection include:
Unique factors affecting females include:
Various factors increase UTI risk in both genders, with unique considerations for females. Proper hygiene and precautions reduce UTI risk.
You Can Also Read: Common Causes of Frequent Urination in Women
Some people are more prone to UTIs due to:
There are several home remedies for UTIs, such as:
How it may help: Cranberries contain proanthocyanidins (PACs) that may reduce E. coli adhesion to the bladder wall.
What the science says: Evidence is mixed. Some trials suggest fewer recurrences, especially in women with frequent UTIs; others show little benefit. Works better as a prevention than a treatment.
How to use:
Safety & limits: May interact with blood-thinning medicines like warfarin; can worsen reflux in some people. Avoid sugary cocktails.
How it may help: Dilutes urine and increases flow, helping flush out bacteria from the bladder and urethra.
What the science says: Observational and interventional studies associate optimum fluid intake with lower UTI risk and shorter symptom duration. It’s supportive, not curative.
How to use:
Safety & limits: People with heart/kidney disease should follow the clinician’s fluid limits.
How it may help: Restores protective vaginal and gut microbiota, which can lower colonisation by uropathogens.
What the science says: Growing but heterogeneous evidence that Lactobacillus strains (e.g., L. rhamnosus GR‑1 and L. reuteri RC‑14) may reduce recurrent UTIs. However, these are not a stand‑alone treatment for acute infection. Antibiotics are still needed for symptom relief and cure.”
How to use:
Safety & limits: Avoid in severely immunocompromised individuals unless advised by a clinician.
How it may help: May acidify urine, creating a less hospitable environment for some bacteria.
What the science says: Evidence is limited and inconsistent. It can be considered as an adjunct for prevention, not an acute cure.
How to use:
Safety & limits: High doses may raise kidney stone risk in predisposed individuals. Your doctor will recommend the right dosage.
How it may help: Wearing loose, breathable clothing and cotton underwear helps keep the genital area dry, reducing the growth of bacteria that can cause UTIs.
What the science says: Moist, warm environments encourage bacterial growth. Choosing breathable fabrics is a simple, non-invasive way to lower infection risk
What should be done:
Safety & limits: Comfortable clothing is a preventive measure, not a treatment for an active infection. Always seek medical care if symptoms appear.
How it may help: Relaxes pelvic muscles and eases bladder pressure, reducing discomfort.
What the science says: Supports pain relief only; it does not treat infection.
How to use:
Safety & limits: Use a cover; avoid sleeping with a heating pad to prevent burns.
Bearberry (Uva‑ursi), Garlic, Green Tea extracts
How they may help: Traditional antimicrobial or anti‑adhesion actions have been proposed.
What the science says: Insufficient high‑quality evidence for acute treatment; potential role (especially bearberry) in prevention is still uncertain. Quality and dosing vary widely.
How to use: If considered, use standardised products and discuss with a clinician first.
Safety & limits: Bearberry is not for long‑term use or during pregnancy and should be used cautiously; it can cause possible liver/renal concerns. Herbal‑drug interactions can occur.
| MYTH | FACT |
| Baking soda/sodium bicarbonate drinks help clear UTIs | There is no evidence for it. Instead, these can disturb the body’s acid–base balance and may cause side effects without treating the infection. |
| Apple cider vinegar cures UTIs | There is no clinical proof to support this. It may irritate the bladder or stomach in some people instead of helping them. |
| Cranberry cocktails with added sugar work like cranberry juice | Added sugar can actually worsen UTI symptoms and is not effective. Only unsweetened cranberry products are considered in studies. |
Note: Home remedies are to support the treatment and not to be used as substitute for actual treatment. Always consult a doctor before trying remedies or supplements.
You should consult a doctor if you notice any of the following symptoms.
Timely medical intervention is important to prevent further complications.
Incorporating effective home remedies for urinary tract infections can offer valuable relief and support for those dealing with this uncomfortable condition and help in promoting overall urinary health. While these natural treatments can help alleviate symptoms, it’s crucial to remember that severe or persistent UTIs may require medical intervention. It is always advisable to seek medical help from an experienced urologist. Timely care and help can ensure an appropriate diagnosis and treatment of your condition.
At the CK Birla Hospital, we ensure patients get holistic medical support which includes treatment in a compassionate environment. This patient-centric approach not only helps patients heal better but also ensures they are aware of the preventive measures as well. In case you need to consult a urologist, reach out to us, or book a direct appointment at the CK Birla Hospital.
Drinking water alone cannot cure a UTI. While staying hydrated is important for UTI prevention, antibiotics prescribed by a healthcare professional are typically required to treat a UTI effectively.
Cranberry juice may help prevent UTIs by preventing bacteria from adhering to the urinary tract lining, but it is not a reliable treatment and should not replace antibiotics when infection occurs.
Yes, there are risks in using herbal remedies for UTIs, including inadequate treatment, delayed medical care, and potential interactions with other medications. For appropriate advice, speak with a healthcare provider.
Prevent recurring UTIs by staying hydrated, practising good hygiene, urinating after sexual activity, avoiding irritants, and consulting a healthcare provider for underlying causes or preventive measures like antibiotics.
Opt for antibiotics over home remedies for UTIs when symptoms are severe, last more than a day or two, or when prescribed by a healthcare professional to prevent complications.
Are those stubborn dark circles under your eyes causing you frustration and self-consciousness? You’re not alone!
In our quest for a refreshed and youthful appearance, discovering how to banish dark circles permanently is a common desire. In this blog, we’ll delve into effective strategies, treatments, and lifestyle changes to help you bid farewell to those pesky shadows and regain your confidence.
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Dark circles under the eyes result in darkened skin below, varying in shades of blue, purple, brown, or black based on skin tone. They can age and fatigue your appearance.
Under-eye circles often stem from various causes and aren’t typically a medical concern. However, you may seek cosmetic solutions to reduce their appearance.
You Can Also Read: Types of Skin Problems & their Solutions
Aging thins the skin under the eyes, making blood vessels more visible and causing dark circles. Tear troughs further contribute by creating shadowed areas, enhancing the appearance of puffiness.
Other potential reasons for dark circles beneath your eyes might be:
To combat under-eye dark circles at home, try these tips:
To eliminate dark circles quickly and permanently, consult your healthcare provider for suitable treatments. Medical options include:
These treatments offer various ways to address dark circles effectively under your eyes.
You Can Also Read: Safely Lighten Skin: Reduce Melanin Without Health Risks
Preventing dark circles under your eyes is not always guaranteed, but there are several adjustments you can implement to potentially alleviate the issue. These changes encompass:
Achieving permanent relief from dark circles requires a holistic approach, from lifestyle changes to skincare routines. Consistency and patience are key to achieving lasting results for brighter, healthier under-eyes. It is always advisable to seek medical help from an experienced dermatologist. Timely care and help can ensure an appropriate diagnosis and treatment of your condition.
At the CK Birla Hospital, we ensure patients get holistic medical support which includes treatment in a compassionate environment. This patient-centric approach not only helps patients heal better but also ensures they are aware of the preventive measures as well. In case you need to consult a dermatologist, reach out to us, or book a direct appointment at the CK Birla Hospital.
Dark circles under the eyes may not be completely curable, as they can be caused by various factors like genetics and ageing. However, treatments can help reduce their appearance.
The time to see results from dark circle treatments varies but typically ranges from a few weeks to several months, depending on the chosen treatment method and individual response.
Yes, dark circles under the eyes can sometimes indicate underlying health issues like allergies, fatigue, or anaemia. Consult a healthcare professional if concerned about their cause.
Home remedies for dark circles under the eyes may provide temporary relief but are unlikely to deliver permanent results. Long-term solutions often require professional treatments or lifestyle changes.
Preventive measures for dark circles include adequate sleep, a balanced diet, hydration, sunscreen, and managing allergies and stress. Avoiding excessive rubbing or tugging on the delicate under-eye area is also essential.
Spotting before menstruation, commonly known as “premenstrual spotting,” is a frequent occurrence for women.
This blog aims to shed light on its causes, symptoms, and implications. Understanding premenstrual spotting can help you navigate your menstrual cycle confidently, prioritise reproductive health, and know when to seek medical advice.
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Spotting is light vaginal bleeding outside your regular period, often with small amounts of blood. It may appear in underwear or on toilet paper after using the restroom. A panty liner usually suffices for protection, not a pad or tampon.
Any bleeding outside your period is abnormal vaginal bleeding (intermenstrual). While it can indicate serious issues occasionally, it’s usually harmless. Consult a doctor if concerned about spotting between periods.
Experiencing spotting before your period can occur due to various factors, such as:
Approximately 15-25% of pregnant individuals may notice light pink, red, or brown spotting in the first trimester. While spotting is common, contact a doctor if it becomes heavy or is accompanied by pelvic pain, potentially indicating complications.
Hormonal birth control methods like pills, patches, injections, rings, or implants can lead to spotting, especially when initiating, altering, or missing doses. Consult a doctor if symptoms persist.
Around 4.8% of menstruating women may experience ovulation-related spotting, occurring approximately 14 days before menstruation. Recognizing these signs can aid in conceiving.
During the transition to menopause, irregular periods, spotting, or variations in flow are common.
While spotting is not a typical cancer symptom, certain types, like endometrial, cervical, ovarian, or vaginal cancer, can cause abnormal bleeding or spotting, especially post-menopause.
This occurs when a fertilised egg attaches to the uterine lining, causing light pink to dark brown spotting a few days before the expected period. Seek medical attention if heavy bleeding occurs during pregnancy.
Vaginal or cervical trauma, such as rough sex, tampon use, or pelvic exams, can lead to irregular spotting.
Cervical or uterine polyps may cause spotting, light bleeding after sex, or unusual discharge. Consult a doctor if symptoms persist.
Sexually transmitted infections like chlamydia or gonorrhoea can result in spotting, along with other symptoms. Early treatment is vital.
Abnormal bleeding between periods is a common PID symptom, potentially requiring antibiotics for treatment.
Uterine fibroids may lead to spotting between periods, heavier menstrual flow, pelvic pain, and urinary issues.
Endometriosis can cause spotting, along with pelvic pain, heavy periods, painful intercourse, and other symptoms.
Irregular bleeding is a sign of PCOS, which can also affect fertility and manifest in various other symptoms.
High levels of physical or emotional stress may result in vaginal spotting.
Some drugs, such as blood thinners, thyroid medications, or hormonal drugs, may lead to abnormal vaginal bleeding. Consult your doctor for alternatives.
Hypothyroidism, characterised by an underactive thyroid, can cause spotting after menstruation. Hormone therapy may be necessary.
Spotting can have multiple causes, so consult a healthcare professional for an accurate diagnosis and appropriate treatment if necessary.
You Can Also Read: Brown Vaginal Discharge
Distinguishing between spotting and the bleeding encountered during menstruation is essential.
Spotting, in general:
On the other hand, menstrual bleeding:
If you’re in your reproductive years and suspect pregnancy, use an at-home hCG test to check. If you see a positive result, then it is advisable to consult an obstetrician-gynaecologist for confirmation.
If it’s negative but your period is more than a week late, seek a doctor’s evaluation. They can investigate potential underlying conditions causing the delay.
Monitoring hCG levels in your urine is a reliable way to detect pregnancy, but a medical consultation is essential for both positive and negative results if there are unusual menstrual changes.
If you notice unexplained spotting between periods, consult a doctor as it could indicate a serious issue.
Keep track of spotting and accompanying symptoms for the doctor’s evaluation.
Seek immediate medical attention if spotting is accompanied by:
Postmenopausal spotting also warrants a doctor’s visit.
Diagnostic procedures may include:
Early intervention is crucial for prompt treatment and management of any potential health concerns.
To minimise spotting before menstruation, consider the following strategies:
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Spotting before menstruation has diverse causes, with treatment options depending on the underlying issue. Here are common reasons and their treatments:
Fluctuations in oestrogen and progesterone levels can lead to spotting before menstruation. Treatment may involve hormonal therapy to regulate hormone levels, such as birth control pills or hormone replacement therapy.
Stress can disrupt hormonal balance and lead to spotting. Managing stress through relaxation techniques, exercise, and counselling may help alleviate symptoms.
These non-cancerous growths in the uterus can cause spotting before menstruation. Treatment options may include medication to shrink the fibroids, surgical removal, or procedures like uterine artery embolization.
PCOS can cause irregular periods and spotting. Treatment may involve lifestyle changes such as weight loss, medication to regulate menstrual cycles, or fertility treatments if pregnancy is desired.
This disorder develops when uterine lining-like tissue grows outside the uterus. Treatment may involve pain management medication, hormone therapy, or surgery to remove the abnormal tissue.
An infection of the reproductive organs, usually caused by sexually transmitted bacteria, can lead to spotting and other symptoms. Treatment typically involves antibiotics to clear the infection.
These growths on the cervix or inside the uterus can cause spotting. Treatment may involve surgical removal of the polyps.
Some women may experience spotting during ovulation, which is normal and typically does not require treatment.
It’s essential to consult a healthcare provider for an accurate diagnosis and appropriate treatment plan tailored to your specific needs and medical history.
Spotting before menstruation is a common occurrence with various potential causes, including hormonal fluctuations, stress, or underlying health issues. Monitoring patterns and pursuing professional help if concerns arise is crucial. It is always advisable to seek medical help from an experienced gynaecologist. Timely care and help can ensure an appropriate diagnosis and treatment of your condition.
At the CK Birla Hospital, we ensure patients get holistic medical support which includes treatment in a compassionate environment. This patient-centric approach not only helps patients heal better but also ensures they are aware of the preventive measures as well. In case you need to consult a gynaecologist, reach out to us, or book a direct appointment at the CK Birla Hospital.
Spotting before periods can be normal due to hormonal changes, but if it is persistent or severe, consult a healthcare professional.
Stress may disrupt hormonal balance, potentially causing spotting before periods. For individualised guidance and management, speak with a healthcare professional.
Spotting is light bleeding, often minimal and brief. A light period typically involves slightly more bleeding, lasting longer.
Natural remedies for spotting may include stress management, a balanced diet, adequate hydration, and herbal supplements like ginger.
Spotting before periods may warrant concern if it’s heavy, prolonged, accompanied by pain, or irregular. Consult a healthcare professional promptly.
